Hughston Clinic Southeast, PC

NPI #1265044838 in Nashville, Tennessee

Provider Information

NPI Number: 1265044838
Entity Type: Organization
Organization Name: Hughston Clinic Southeast, PC
Subpart: Yes (part of a larger organization)
Parent Organization: HUGHSTON CLINIC SOUTHEAST, PC
Primary Specialty: Nurse Practitioner
Enumeration Date: Aug 17, 2020
Last Updated: Aug 17, 2020

Practice Location

Address: 3443 DICKERSON PIKE STE 190
City: Nashville
State: Tennessee
ZIP Code: 37207-2533
Phone: (615) 301-8269

Authorized Official

Name: AMANDA FROMKIN
Title: CREDENTIALING MANAGER
Phone: (706) 494-3071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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